But speaking at the Londonwide LMCs’ annual conference yesterday, NHS England’s acting director of primary care Dr Nikita Kanani told delegates there is no obligation for GPs to be at the helm of networks.

When asked by a London nurse why networks would have to be led by a GP, Dr Kanani said: ‘They don’t. They’re clinically led so it can be anybody.

‘They’re remunerated at general practice level but they could be [led by] anybody who is right clinically.’

She added: ‘It should be general practice led. When I went through the contract documentation last night we made sure that it was really clear it could be any clinician.’

According to NHS England's GP contract, the network clinical director will work with member practices to 'improve the quality and effectiveness of the network services'.

'Primary care network clinical directors will provide strategic and clinical leadership to help support change across primary and community health services,' the contract stated.

A BMA spokesperson told our sister publication Pulse, where this article was first published: 'It is for practices in the network to decide who leads them. We would expect a GP to take on this role, but if the network prefers another clinician, who has the necessary skills, then they are free to appoint them too.'

Dr Yuri Pattni, clinical lead for Federated4Health - a GP federation in Haringey - said he would not be against the idea of a network having a clinical director other than a GP, as long as they have the right skills and knowledge of the environment they operate in.

He said: 'I am not averse to the idea. There could be a scenario in which different primary care networks could get together and recruit one person to manage all of them and that person could have a wealth of experience either from the commissioning side or the provider side.

'It’s about what’s right for the network. If a primary care network feels like they are able to take on that role having deliberately discussed it with their colleagues, then that’s fine.'

He added: 'I would love it if it was a nurse, for example, it doesn’t matter and doesn't have to be a GP to do this. It’s about what the role entails and what that means. You need to have an understanding of the context in which you’re operating but I think beyond that fair game.'